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Biomedical subjects

B Noesberger

Publications and source records attributed to B Noesberger.

At least 19 recordsLinked to original sources
PubMed1991

[Fractures of the lateral process of the talus].

In approximately 1% of all ankle sprains a fracture of the lateral process of the talus can be found. This fracture is probably even more common than this suggests, as it is often missed. We recommend that CT examination be performed in the investigation of ankle sprains when swelling, hematoma, and pain are present, when there is no instability of the ankle ligaments, and when no conclusive findings are yielded by conventional X-ray. Various theories on the best therapy have been propounded in the literature. Our retrospective study involved six patients. In two cases the fracture was treated by surgical operation. The remaining four patients received conservative therapy. Both patients who were operated upon had dislocated fractures sustained shortly before. On follow-up they were found to be completely symptom free. One further patient, who underwent conservative treatment for a fresh undislocated fracture, was also found to be free of all symptoms at follow-up. The late radiological findings in these three patients were incontestable. The three remaining patients, whether they had undergone conservative our functional treatment, reported considerable problems at follow-up, i.e. starting pain and a decreased range of motion in the talo-calcanear joint.

Adult↗
PubMed1990

[Accidents and injuries in hanggliding].

Between January 1987 and December 1988 36 patients with injuries resulting from hanggliding were admitted to the Interlaken hospital. 6 (17%) of them were women. 14 patients were between 20-30 years old. 24 patients presented injuries of the lower limb, in 10 cases the spine was affected. From the total 39 injuries 20 had to been treated by operation. The accidents occur equally while starting or landing, during the flight incidents are very rare. The majority of the patients had only little experience in hanggliding or underwent insufficient training, indicating the most important point to be dealt with in the future.

Accidents, Aviation↗
PubMed1989

[Total hip prosthesis with or without preventive use of antibiotics].

514 patients with total hip replacement were operated in 3 years in our county hospital. The patients were divided in two groups: 1. high risk patients: these patients had an antibiotica prophylaxis with 3 doses of 2 g of cefamandole beginning at the time of the induction of the anaesthesia; 2. patients without risks: they had no antibiotica. The two groups of patients were controlled at 3 and 12 months after the operation. 159 patients had a risk for an infection and had antibiotica, 355 patients had no antibiotica. The infection rate after 1 year was 0.6% in the group of patients with antibiotica, and 1.4% in the group of patients without antibiotica. This gave no statistical significance. The only statistical difference between the 2 groups was a significantly higher rate of urinary infection in the group with antibiotica. Thus it has been shown that urinary infections after total hip replacement correctly treated with antibiotica are not a high risk for an infection in the prosthesis. We conclude that antibiotica prophylaxis for total hip replacement in patients with high risk factors (like diabetes, corticotherapy, intraarticular injection, obesity and operation on the same hip) may help to have a postoperatively low infection rate, in our case 0.6%.

Anti-Bacterial Agents↗
PubMed1979

Differential diagnosis of ruptures of the lateral ligaments of the ankle joint.

Ruptures of the lateral ligaments of the ankle joint occur very frequently in young persons and this subject is therefore one which deserves more attention. Once a fracture or avulsion of a ligamentary insertion has been excluded the nature and extent of the ligamentary lesion should be precisely assessed. The only objective criterion of rupture of a ligament is demonstrable instability of the joint. Since the anterior talo-fibular ligament is always found to be torn immediately following supination-inversion injury to the ligaments the talar drawer sign will be demonstratable both clinically and radiologically in such cases. This test causes almost no pain and can be carried out without anesthesia. The radiological visualization of ligamentary instability with the aid of a simple jig which stresses the ankle joint provides diagnostic information which is definitely superior to that obtained from an a-p roentegenogram of the stressed joint. This conclusion was reached by statistical analysis of 384 roentgenograms.

Ankle Injuries↗
PubMed1979

[The combination of fractures of the lower extremity and lesion of the posterior cruciate ligament].

In 400 fractures of the upper and lower leg, 7 patients had an additional lesion of the posterior cruciate ligament. This combination occurs in people, who had a high energy frontal impact in the sitting position. The ligamenteous injury is often overlooked because of multiple injuries and difficulty in examination of a knee joint on a fractured leg. In high velocity injuries of the lower extremity, knee and hip joint injuries must not be overlooked. The diagnosis of knee injury can be made by inspection and palpation of a joint effusion and by a knee joint X-ray, which shows an avulsion fracture of the dorsal tibial spine. Repair is recommended within the first 3 weeks if possible. Later, scarring in the subluxed position and osteoporosis of the fragment will make a reconstruction very difficult.

Adult↗
PubMed1977

Techniques of osteosynthesis of pathological fractures due to skeletal metastases.

In using internal fixation in the treatment of fractures due to skeletal metastases the objective is to obtain rapid rehabilitation of the patient. The fixation must therefore be particularly stable and it is consequently often necessary to use acrylic cement. This treatment aims to alleviate pain, to shorten the time spent in hospital, and to restore the patient, as far as possible, to his social background, so alleviating the psychological suffering that complicates such disease states. The elective techniques for the various skeletal segments affected are reported, based on 64 cases of osteosynthesis and 26 prosthetic substitutions.

Bone Neoplasms↗